Saline Breast Implants Areola Incision in Fortaleza Brazil
Breast augmentation, or augmentation mammoplasty, is one of the most common plastic surgery procedure performed today. Over time, factors such as age, genetics, pregnancy, weight changes, sun exposure, and gravity can cause the size and shape of the breast to change. Women who are dissatisfied with the size of their breasts, or have experienced changes in breast appearance can achieve a fuller, shapelier breast with breast augmentation. During breast augmentation, a breast implant is placed inside a pocket formed in the breast tissue. This can help to increase or balance the size of the breast, restore breast volume, or restore the shape of the breast after partial or total loss. It is important to realize that breast augmentation cannot correct significantly sagging or drooping breasts. In these instances, a breast lift is often necessary, which may be performed in conjunction with this procedure.
Saline implants are made of a silicone rubber shell and are filled with sterile saline solution, or salt water. Sterile saline solution has the same salt concentration as the body, which means that the solution presents very little health risk. You must be at least 18 years of age to receive saline implants. Breast implants differ by shape, texture, and profile. Breast implants may be round or contoured, and may have a smooth or textured surface. The breast implant profile may be standard, moderate, or high. Lastly, breast implants vary by size, or volume. The type, style, and size of breast implants you choose are determined by your lifestyle, body contours, the amount of breast tissue you have, and the cup size and appearance that you would like to achieve. Be sure to talk with your doctor in depth about choosing the breast implant option that is right for you.
The breast consists of glands and milk ducts, surrounded by fatty tissue which provides its shape and soft form. The elasticity of your skin also contributes to its shape. As you know, certain factors such as age and pregnancy can affect the elasticity of your skin and breast tissue, which results in changes to shape and appearance.
Breast implants can be placed in two general locations, known as submuscular and subglandular placement. Submuscular placement refers to an implant that is placed partially or completely beneath the pectoralis muscle, against the chest wall. In contrast, subglandular placement refers to an implant that is placed beneath the breast tissue, but above the pectoralis muscle. Your surgeon will help determine the implant placement that is best for you.
Breast augmentation procedures typically last approximately one to two hours. Prior to the start of your procedure the treatment area will be thoroughly cleansed and an anesthetic will be administered. Depending on the surgeon’s preferences and the nature of the procedure, a local anesthetic in combination with intravenous sedation or general anesthesia will be used.
The periareolar incision is one of the most common incisions used in breast augmentation. A single small incision is usually placed along the perimeter of the areola. Using an instrument known as a retractor, the surgeon will open the incision in order to gain better access to the breast tissue below. Although the incision will be made as inconspicuously as possible, its length and appearance may vary depending on the type and size of implant, your body contours, and the surgeon’s preference.
The surgeon will carefully separate the breast tissue with a minimally invasive cautery device and a scalpel, in order to reach the area of the breast in which the pocket will be formed. Using an instrument known as an elevator and their fingers, the surgeon will carefully create a pocket in which to place the breast implant.
Most saline implants are filled during surgery. Therefore, saline implants are usually inserted into the breast empty. A tube attached to a valve on the breast implant allows the surgeon to fill the implant. Once the implant is inserted into the pocket, the surgeon will use a syringe to fill the implant with sterile saline solution. When the implants are filled, your surgeon will visually inspect your breasts to ensure that they are symmetric. They may add additional saline solution to one or both breast implants, adjust the pocket, and the position of the breast implant itself to ensure that the desired look is achieved. Once satisfied, the surgeon will remove the tube used to deliver the saline solution, sealing the implants.
The incisions will be closed using sutures in the breast tissue. Sutures, skin adhesive or surgical tape may be used to close the skin. Your surgeon may choose to use non-dissolving sutures, which will be removed in seven to ten days. The scars from the incisions will fade slowly over several months, but it may take up to a year for them to refine completely. As with any surgery, you will most likely experience some pain and swelling after surgery. The majority of the swelling will likely subside within a few days. However, some swelling may persist for several weeks.
Your physician may place you in a special bra or compression garment to aid in the healing process. Compression garments provide support and comfort, minimize swelling, and help to maintain the position of the implants. This is why it is important that you wear the compression garment as recommended by your physician.
You will most likely be able to return to work within three to seven days after your procedure. However, it is important that you avoid any strenuous activity and lifting for approximately three to four weeks. Doing so may delay healing and could damage the implants. You will be able to notice the final results from your procedure once the implants have settled and the swelling has subsided completely.
It is important to realize that your breasts will continue to change shape over time. However, the results from breast augmentation are typically long-lasting, which means that your breasts will maintain the fuller, shapelier appearance that you desire for years to come.
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Fortaleza By bus
The Central bus station links Fortaleza with all the capitals in the Northeast region and also Rio de Janeiro and S?o Paulo, and most rest of the country via connections. Note that most lines within the state of Ceara have their last coach leaving around 1800-1900.
Taxi to Beira Mar is about R$ 15. The bus 078 Siqueira Mucuripe will take you the same place, -mind the direction!
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Fortaleza By bus
As any major Brazilian city, Fortaleza can be done almost entirely by bus. Ticket price is R$ 1,60 (rare exceptions), and if you get off at a terminal you can change lines without paying again. Most lines run 7 days a week 0500-2300, give or take. The lines listed here, deemed most useful for tourists, will run roughly every 5-10 minutes daytime weekdays, frequencies perhaps halved nightime and weekends. Only the most useful parts of the routes are described. Some lines have the number 1 or 2 after their names, only to indicate direction, others don't. I.e. the very same bus with the same number and name could be running either from A to B, or from B to A. Ask!
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Plastic Surgery News...
- A scientific report published this month provides a blueprint to revolutionize the future of cancer prevention research. Until now, most research on how to prevent cancer has provided information about the average person - nothing tailored for the individual.
The patient described and interviewed below faces a crossroads regarding his medical care. Consider his perspective, expressed in his own words. Then review the questions posed and imagine you are caring for Mr E. How would you approach this crossroads? Use evidence from the literature and your own experience, and follow the instructions provided at the "Submit Response" link to the right. Responses will be selected for posting online based on their quality, including use of the available evidence, weighing the issues, and addressing the patient's concerns. The discussion of this Clinical Crossroads case, authored by Dr John Brust, will be published in the March 5, 2008, issue of JAMA; responses must be submitted by February 27, 2008, to be considered for online posting.